Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 2/2015

01-02-2015 | Review Article

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Authors: Carrie S. Sheets, Christine M. Peat, Kelly C. Berg, Emily K. White, Lindsey Bocchieri-Ricciardi, Eunice Y. Chen, James E. Mitchell

Published in: Obesity Surgery | Issue 2/2015

Login to get access

Abstract

Although there are several recent reviews of the pre-operative factors that influence treatment outcome for bariatric surgery, commensurate efforts to identify and review the predictive validity of post-operative variables are lacking. This review describes the post-operative psychosocial predictors of weight loss in bariatric surgery. Results suggest empirical support for post-operative binge eating, uncontrolled eating/grazing, and presence of a depressive disorder as negative predictors of weight loss outcomes; whereas, adherence to dietary and physical activity guidelines emerged as positive predictors of weight loss. With the exception of depression, psychological comorbidities were not consistently associated with weight loss outcomes. Results highlight the need for post-operative assessment of disordered eating and depressive disorder, further research on the predictive value of post-operative psychosocial factors, and development of targeted interventions.
Literature
1.
Ostman J, Britton M, Jonsson E. Treating and preventing obesity: an evidence based review. Wiley, editor. Weinheim, Germany, 2004.
2.
Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. J Am Med Assoc. 2004;292(14):1724–37. PubMed PMID: 15479938.CrossRef
3.
Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547–59. PubMed PMID: 15809466.PubMedCrossRef
4.
Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31(8):1248–61. PubMed PMID: 17356530.CrossRef
5.
Dixon JB, O’Brien PE, Playfair J, et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA J Am Med Assoc. 2008;299(3):316–23. PubMed PMID: 18212316.CrossRef
6.
NIH, editor. NIH conference: Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Annals of Internal Medicine; 1991 Dec 15.
7.
8.
Chevallier JM, Paita M, Rodde-Dunet MH, et al. Predictive factors of outcome after gastric banding: a nationwide survey on the role of center activity and patients’ behavior. Ann Surg. 2007;246(6):1034–9. PubMed PMID: 18043107.PubMedCrossRef
9.
Anwar M, Collins J, Kow L, et al. Long-term efficacy of a low-pressure adjustable gastric band in the treatment of obesity. Ann Surg. 2008;247:771–8.PubMedCrossRef
10.
Benotti PN, Forse RA. The role of gastric surgery in the multidisciplinary management of severe obesity. Am J Surg. 1995;169:361–7.PubMedCrossRef
11.
Powers PS, Rosemurgy A, Boyd F, et al. Outcome of gastric restriction procedures: weight, psychiatric diagnoses, and satisfaction. Obes Surg. 1997;7(6):471–7. PubMed PMID: 9730503.PubMedCrossRef
12.
Devlin MJ, Goldfein JA, Flancbaum L, et al. Surgical management of obese patients with eating disorders: a survey of current practice. Obes Surg. 2004;14(9):1252–7. PubMed PMID: 15527644.PubMedCrossRef
13.
Bauchowitz AU, Gonder-Frederick LA, Olbrisch ME, et al. Psychosocial evaluation of bariatric surgery candidates: a survey of present practices. Psychosom Med. 2005;67(5):825–32. PubMed PMID: 16204445.PubMedCrossRef
14.
Santry HP, Chin MH, Cagney KA, et al. The use of multidisciplinary teams to evaluate bariatric surgery patients: results from a national survey in the U.S.A. Obes Surg. 2006;16(1):59–66. PubMed PMID: 16417760.PubMedCrossRef
15.
Marcus MD, Kalarchian MA, Courcoulas AP. Psychiatric evaluation and follow-up of bariatric surgery patients. Am J Psychiatry. 2009;166(3):285–91. PubMed PMID: 19255051.PubMedCrossRef
16.
Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13(4):639–48. PubMed PMID: 15897471.PubMedCrossRef
17.
Herpertz S, Kielmann R, Wolf AM, et al. Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 2004;12(10):1554–69. PubMed PMID: 15536219.PubMedCrossRef
18.
van Hout GC, Verschure SK, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60. PubMed PMID: 15946437.PubMedCrossRef
19.
Pull CB. Current psychological assessment practices in obesity surgery programs: what to assess and why. Curr Opin Psychiatry. 2010;23(1):30–6. PubMed PMID: 19926994.PubMedCrossRef
20.
Livhits M, Mercado C, Yermilov I, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70–89.PubMedCrossRef
21.
22.
Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed. New York: Guilford Press; 2002. 428 p.
23.
Larsen JK, van Ramshorst B, Geenen R, et al. Binge eating and its relationship to outcome after laparoscopic adjustable gastric banding. Obes Surg. 2004;14(8):1111–7. PubMed PMID: 15479602.PubMedCrossRef
24.
Scholtz S, Bidlake L, Morgan J, et al. Long-term outcomes following laparoscopic adjustable gastric banding: post-operative psychological sequelae predict outcome at 5-year follow-up. Obes Surg. 2007;17(9):1220–5. PubMed PMID: 18074498.PubMedCrossRef
25.
de Zwaan M, Hilbert A, Swan-Kremeier L, et al. Comprehensive interview assessment of eating behavior 18–35 months after gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2010;6(1):79–85.PubMedCrossRef
26.
Kofman MD, Lent MR, Swencionis C. Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: results of an internet survey. Obesity. 2010;18(10):1938–43.PubMedCrossRef
27.
Beck NN, Mehlsen M, Støving RK. Psychological characteristics and associations with weight outcomes two years after gastric bypass surgery: post-operative eating disorder symptoms are associated with weight loss outcomes. Eat Behav. 2012;13(4):394–7. doi:10.​1016/​j.​eatbeh.​2012.​06.​001.PubMedCrossRef
28.
29.
White MA, Kalarchian MA, Masheb RM, et al. Loss of control over eating predicts outcomes in bariatric surgery patients: a prospective, 24-month follow-up study. J Clin Psychiatry. 2010;71(2):175–84. PubMed PMID: 19852902.PubMedCentralPubMedCrossRef
30.
Colles SL, Dixon JB, O’Brien PE. Grazing and loss of control related to eating: two high-risk factors following bariatric surgery. Obesity. 2008;16(3):615–22.PubMedCrossRef
31.
Wolfe B, Terry M. Expectations and outcomes with gastric bypass surgery. Obes Surg. 2006;16(12):1622–9.PubMedCrossRef
32.
de Man Lapidoth J, Ghaderi A, Norring C. Binge eating in surgical weight-loss treatments: long-term associations with weight loss, health related quality of life (HRQL), and psychopathology. Eat Weight Disord. 2011;16(4):e263–9. PubMed PMID: 2012-11367-006. PMID: 22526131.PubMedCrossRef
33.
Latner JD, Wetzler S, Goodman ER, et al. Gastric bypass in a low-income, inner-city population: eating disturbances and weight loss. Obes Res. 2004;12(6):956–61. PubMed PMID: 15229335.PubMedCrossRef
34.
35.
Faria SL, de Oliveira Kelly E, Faria OP, et al. Snack-eating patients experience lesser weight loss after Roux-en-Y gastric bypass surgery. Obes Surg. 2009;19(9):1293–6.CrossRef
36.
Colles SL, Dixon JB, O’Brien PE. Hunger control and regular physical activity facilitate weight loss after laparoscopic adjustable gastric banding. Obes Surg. 2008;18(7):833–40.PubMedCrossRef
37.
Silver HJ, Torquati A, Jensen GL, et al. Weight, dietary and physical activity behaviors two years after gastric bypass. Obes Surg. 2006;16(7):859–64. PubMed PMID: 16839483.PubMedCrossRef
38.
Bueter M, Thalheimer A, Lager C, et al. Who benefits from gastric banding? Obes Surg. 2007;17(12):1608–13.PubMedCrossRef
39.
Lanyon RI, Maxwell BM, Kraft AJ. Prediction of long-term outcome after gastric bypass surgery. Obes Surg. 2009;19(4):439–45.PubMedCrossRef
40.
Colles SL, Dixon JB. Night eating syndrome: impact on bariatric surgery. Obes Surg. 2006;16(7):811–20. PubMed PMID: 16839476.PubMedCrossRef
41.
Kinzl JF, Schrattenecker M, Traweger C, et al. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg. 2006;16(12):1609–14. PubMed PMID: 17217637.PubMedCrossRef
42.
Laurenius A, Larsson I, Bueter M, et al. Changes in eating behaviour and meal pattern following Roux-en-Y gastric bypass. Int J Obes. 2012;36(3):348–55. doi:10.​1038/​ijo.​2011.​217. PubMed PMID: 2012-07688-004. PMID: 22124454.CrossRef
43.
van Strien T. Dutch Eating Behavior Questionnaire. Suffolk: Thames Valley Test Company Limited; 2002.
44.
45.
Burgmer R, Grigutsch K, Zipfel S, et al. The influence of eating behavior and eating pathology on weight loss after gastric restriction operations. Obes Surg. 2005;15(5):684–91. PubMed PMID: 15946461.PubMedCrossRef
46.
Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML, et al. Quality of life after bariatric surgery: a population-based cohort study. Am J Med. 2009;122(11):1055.e1–e10.CrossRef
47.
Toussi R, Fujioka K, Coleman KJ. Pre- and post-surgery behavioral compliance, patient health, and post-bariatric surgical weight loss. Obesity. 2009;17(5):996–1002. PubMed PMID: 19165167.PubMedCrossRef
48.
49.
Sarwer DB, Wadden TA, Moore RH, et al. Pre-operative eating behavior, post-operative dietary adherence, and weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2008;4(5):640–6. PubMed PMID: 18586571.PubMedCentralPubMedCrossRef
50.
Welch G, Wesolowski C, Piepul B, et al. Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obes Surg. 2008;18(5):517–24. PubMed PMID: 18365295.PubMedCrossRef
51.
Bond DS, Phelan S, Wolfe LG, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity. 2009;17(1):78–83. PubMed PMID: 18997679.PubMedCrossRef
52.
Pontiroli AE, Fossati A, Vedani P, et al. Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcome of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17(11):1492–7. PubMed PMID: 18219777.PubMedCrossRef
53.
Kruseman M, Leimgruber A, Zumbach F, et al. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 2010;110:527–34.PubMedCrossRef
54.
Livhits M, Mercado C, Yermilov I, et al. Exercise following bariatric surgery: systematic review. Obes Surg. 2010;20(5):657–65. PubMed PMID: 20180039.PubMedCentralPubMedCrossRef
55.
Jacobi D, Ciangura C, Couet C, et al. Physical activity and weight loss following bariatric surgery. Obes Rev. 2011;12(5):366–77.PubMedCrossRef
56.
Bond DS, Evans RK, Wolfe LG, et al. Impact of self-reported physical activity participation on proportion of excess weight loss and BMI among gastric bypass surgery patients. Am Surg. 2004;70(9):811–4. PubMed PMID: 15481300.PubMed
57.
Metcalf B, Rabkin R, Rabkin J, et al. Weight loss composition: the effects of exercise following obesity surgery as measured by bioelectrical impedance analysis. Obes Surg. 2005;15(2):183–6.PubMedCrossRef
58.
Larsen JK, Geenen R, van Ramshorst B, et al. Binge eating and exercise behavior after surgery for severe obesity: a structural equation model. Int J Eat Disord. 2006;39(5):369–75.PubMedCrossRef
59.
Evans RK, Bond DS, Wolfe LG, et al. Participation in 150 min/wk of moderate or higher intensity physical activity yields greater weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2007;3(5):526–30.PubMedCrossRef
60.
61.
Forbush S, Nof L, Echternach J, et al. Influence of activity levels and energy intake on percent excess weight loss after Roux-en-Y gastric bypass. Obes Surg. 2011;21(11):1731–8. doi:10.​1007/​s11695-011-0450-x. PubMed PMID: WOS:000297128700016.PubMedCrossRef
62.
63.
64.
Shen R, Dugay G, Rajaram K, et al. Impact of patient follow-up on weight loss after bariatric surgery. Obes Surg. 2004;14(4):514–9.PubMedCrossRef
65.
Dixon JB, Laurie CP, Anderson ML, et al. Motivation, readiness to change, and weight loss following adjustable gastric band surgery. Obesity. 2009;17(4):698–705. PubMed PMID: 19148126.PubMedCrossRef
66.
Gould JC, Beverstein G, Reinhardt S, et al. Impact of routine and long-term follow-up on weight loss after laparoscopic gastric bypass. Surg Obes Relat Dis. 2007;3(6):627–30.PubMedCrossRef
67.
68.
Elakkary E, Elhorr A, Aziz F, et al. Do support groups play a role in weight loss after laparoscopic adjustable gastric banding? Obes Surg. 2006;16:331–4.PubMedCrossRef
69.
70.
71.
Ware JE, Kosinski M, Dewey JE. How to score version two of the SF-36 health survey. Lincoln: QualityMetric, Incorporated; 2000.
72.
73.
Hayden MJ, Murphy KD, Brown WA, et al. Axis I disorders in adjustable gastric band patients: the relationship between psychopathology and weight loss. Obes Surg. 2014. doi:10.​1007/​s11695-014-1207-0.
74.
King WC, Chen J-Y, Mitchell JE, et al. Prevalence of alcohol use disorders before and after bariatric surgery. JAMA J Am Med Assoc. 2012;307(23):2516–25. PubMed PMID: 2012-33481-003. PMID: 22710289.CrossRef
75.
76.
77.
Kinzl JF, Schrattenecker M, Traweger C, et al. Quality of life in morbidly obese patients after surgical weight loss. Obes Surg. 2007;17:229–35.PubMedCrossRef
78.
Myers VH, Adams CE, Barbera BL, et al. Medical and psychosocial outcomes of laparoscopic Roux-en-Y gastric bypass: cross-sectional findings at 4-year follow-up. Obes Surg. 2012;22:230–9. PubMed Central PMCID: PMC21136302.PubMedCrossRef
79.
Frydrych AM, Davies GR, McDermott BM. Eating disorders and oral health: a review of the literature. Aust Dent J. 2005;50:6–15.PubMedCrossRef
80.
Metadata
Title
Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery
Authors
Carrie S. Sheets
Christine M. Peat
Kelly C. Berg
Emily K. White
Lindsey Bocchieri-Ricciardi
Eunice Y. Chen
James E. Mitchell
Publication date
01-02-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1490-9

Other articles of this Issue 2/2015

Obesity Surgery 2/2015 Go to the issue

Other

Sleeve Gastrectomy Is a Safe and Efficient Procedure in HIV Patients with Morbid Obesity: a Case Series with Results in Weight Loss, Comorbidity Evolution, CD4 Count, and Viral Load

Original Contributions

Work Participation Among the Morbidly Obese Seeking Bariatric Surgery: An Exploratory Study from Norway

Original Contributions

Water with Food Intake Does Not Influence Caloric Intake After Gastric Bypass (GBP): a Cross-Over Trial

Letter to the Editor

Laparoscopic Roux-en-Y Gastric Bypass with the Absorbable Bidirectional Monofilament Barbed Suture Stratafix®: the Hand-Sewn Technique

Original Contributions

Laparoscopic Magenstrasse and Mill Gastroplasty. First Results of a Prospective Study

Brief Communication

Chronic Elevation of Systemic Glucagon-Like Peptide-1 Following Surgical Weight Loss: Association with Nausea and Vomiting and Effects on Adipokines